Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 144498 | NY |
NPI | 1083717524 |
---|---|
Provider Name | Dr. Joanne Sulewski |
First Address | Buffalo, NY 14226-3213 |
Second Address | Buffalo, NY 14209-2256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00685287 | (05) | NY |
B71652 | (02) | NY |